Active NPI 1114957628 Individual Practitioner Male Practitioner

Dr. Tony Yuk Man Tam , MD

Surgery • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tony Tam, MD is a certified Surgery practicing in Modesto, CA. With approximately 41 years of clinical experience since graduating from University Of Arizona College Of Medicine in 1985, Dr. Tam delivers high-quality medical care to the local community at 1700 COFFEE RD.

Dr. Tam is affiliated with Surgical Associates Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 Coffee Rd

Modesto, CA 953552803

Telephone 2095795628

Fax 2095795637

Associated Practice Facility / Clinic

🏢 Sutter Central Valley Hospitals Facility NPI 1629059746

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

36 Specialists

Practicing in Modesto, CA (3346 Statewide)

Telehealth Adoption Rate

19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tam (41 Years) 41 Yrs

Modesto Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$600.46	$161.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	32	$340.27	$110.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	424	159	$235.80	$119.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	245	231	$343.56	$172.10
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	55	37	$79.00	$30.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	23	$157.00	$79.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$115.00	$35.44
99291 Critical care, first 30-74 minutes	18	16	$549.00	$211.32
47562 Removal of gallbladder using an endoscope	14	14	$1321.71	$642.37
99239 Hospital discharge day management, more than 30 minutes	12	12	$228.00	$114.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	774	246	$208.60	$102.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	251	236	$402.27	$198.39
99356 Prolonged inpatient or observation hospital service, first hour	232	144	$183.91	$90.99
99291 Critical care, first 30-74 minutes	147	56	$575.77	$217.65
99239 Hospital discharge day management, more than 30 minutes	52	52	$215.00	$105.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	39	$117.85	$36.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	806	288	$197.08	$104.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	467	434	$384.59	$203.25
99291 Critical care, first 30-74 minutes	127	46	$545.88	$222.57
99356 Prolonged inpatient or observation hospital service, first hour	89	74	$174.76	$93.30
99239 Hospital discharge day management, more than 30 minutes	59	57	$207.07	$105.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$108.02	$36.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	26	$137.34	$73.08
47562 Removal of gallbladder using an endoscope	23	23	$1269.61	$644.09
31600 Opening of windpipe through neck for insertion of breathing tube	17	17	$607.59	$300.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$261.13	$138.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	533	233	$215.02	$106.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	325	302	$419.00	$207.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	79	$149.00	$73.07
99291 Critical care, first 30-74 minutes	81	46	$571.00	$227.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	60	$283.00	$141.43
99239 Hospital discharge day management, more than 30 minutes	35	35	$223.00	$108.55
99356 Prolonged inpatient or observation hospital service, first hour	29	28	$191.00	$95.68
31600 Opening of windpipe through neck for insertion of breathing tube	19	19	$822.00	$298.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$91.00	$26.38
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$153.00	$52.32
47562 Removal of gallbladder using an endoscope	16	16	$1361.00	$669.31
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	13	11	$480.00	$147.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	411	189	$215.00	$101.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	222	213	$419.00	$198.15
99291 Critical care, first 30-74 minutes	127	52	$571.00	$216.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	86	$81.00	$38.49
99356 Prolonged inpatient or observation hospital service, first hour	111	75	$191.00	$90.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	44	$149.00	$71.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	71	$283.00	$133.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	37	$225.00	$111.93
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$153.00	$50.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$226.00	$111.07
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$153.00	$76.35
99239 Hospital discharge day management, more than 30 minutes	37	36	$223.00	$105.73
47562 Removal of gallbladder using an endoscope	31	31	$1361.00	$632.88
99238 Hospital discharge day management, 30 minutes or less	27	27	$151.00	$72.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$343.00	$168.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	107	106	$419.00	$194.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	47	$215.00	$98.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	36	$149.00	$67.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$226.00	$105.35
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$153.00	$71.64
99291 Critical care, first 30-74 minutes	49	30	$571.00	$211.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$343.00	$160.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	42	$225.00	$105.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	19	$81.00	$35.28
99356 Prolonged inpatient or observation hospital service, first hour	20	14	$191.00	$86.09
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$157.00	$73.80
47562 Removal of gallbladder using an endoscope	16	16	$1361.00	$604.27
49560 Repair of incisional or abdominal hernia	14	14	$1524.00	$702.39
49505 Repair of groin hernia (5 years or older)	14	14	$1234.29	$532.82
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2544.00	$326.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$283.00	$130.54
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$548.00	$251.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	256	130	$215.00	$102.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	216	207	$419.00	$199.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	202	132	$149.00	$71.35
99213 Established patient office or other outpatient visit, typically 15 minutes	73	55	$153.00	$70.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$226.00	$104.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$343.00	$155.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	47	$225.00	$104.20
47562 Removal of gallbladder using an endoscope	25	25	$1361.00	$593.82
99291 Critical care, first 30-74 minutes	24	18	$571.00	$218.85
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$2544.00	$323.42
99239 Hospital discharge day management, more than 30 minutes	14	14	$223.00	$106.85
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$157.00	$72.48
49560 Repair of incisional or abdominal hernia	13	12	$1524.00	$698.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$81.00	$38.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$283.00	$133.95

Medical Specialties & State Licenses

CMS Verified: 2023-08-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G71710

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License CA G71710

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G717100 (CA)

Commercial Insurance / Payer ID Provider Transaction Access Number (Ptan)

00G717102

Hospital & Practice Group Affiliations

Surgical Associates Inc

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2094042261

Surgical Associates Inc

1700 Coffee Rd, Modesto, CA 953552803

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Dr. Christopher Grover , MD

Obstetrics & Gynecology

NPI 1033192232

Doctor of Medicine (M.D.)

Dr. Li Tao , MD

Internal Medicine

NPI 1063832483

Doctor of Medicine (M.D.)

Dr. Scott Colquhoun , MD

Orthopaedic Surgery

NPI 1144200692

Doctor of Medicine (M.D.)

Dr. Krishnakumar Rajani , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1194838292

Doctor of Medicine (M.D.)

Jeffrey Clemens , ACNP

Nurse Practitioner - Acute Care

NPI 1215507298

Dr. Carleo Capili , MD

Internal Medicine

NPI 1235558198

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address August 24, 2023

Registered at 4490 OAKDALE RD, MODESTO, CA 953570800 (Tel: 2094042261)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2023

Surgery (License #G71710 in CA)

📍

Updated Practice Location November 20, 2019

Registered at 1700 COFFEE RD, MODESTO, CA 953552803 (Tel: 2095795628)

📍

Updated Business Mailing Address November 20, 2019

Registered at 220 STANDIFORD AVE STE F, MODESTO, CA 953501159 (Tel: 2095795628)

✅

NPI Profile Active December 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2011

Registered at 1401 SPANOS CT STE 127, MODESTO, CA 95355 (Tel: 2095253848)

📍

Updated Business Mailing Address December 28, 2011

Registered at 1401 SPANOS CT, SUITE 127, MODESTO, CA 95355 (Tel: 2095253848)

👤

Provider Name / Credentials Updated December 28, 2011

Recorded as TONY TAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2011

Surgery (License #G71710 in CA)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114957628

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: August 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4490 Oakdale Rd

Modesto, CA 953570800

Phone: 2094042261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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